scholarly journals Perspectives of ESCAPE-Pain Programme for Older People With Knee Osteoarthritis in the Community Setting

2021 ◽  
Vol 8 ◽  
Author(s):  
Muhammad Kamil Che Hasan ◽  
Emma Stanmore ◽  
Chris Todd
Keyword(s):  
Health Care ◽  
Knee Osteoarthritis ◽  
Health Care System ◽  
Healthcare Professionals ◽  
Home Exercise ◽  
Future Research ◽  
Structured Interviews ◽  
Framework Analysis ◽  
Knee Oa ◽  
Care System

Background: Functional limitationscommonly affect patients with knee osteoarthritis (OA) which reduces quality of life. The Enabling Self-management and Coping with Arthritic Pain using Exercise (ESCAPE-pain) is an evidence-based programme identified to be suitable for adaptation for the Malaysian health care system. It is important to understand the acceptance from a sociocultural context of the ESCAPE-pain programme from the perspectives of patients with knee OA and healthcare professionals. This qualitative study aims to explore the perspectives of stakeholders to inform the adaptation of the ESCAPE-pain programme into the Malaysian health care system.Method: Semi-structured interviews using interview guides were conducted with 18 patients with knee OA and 14 healthcare professionals including nurses, physiotherapists, occupational therapists, medical doctors, and orthopedic surgeons. The data were transcribed and analyzed using framework analysis.Results: The findings show that patients and healthcare professionals positively accept the programme into their daily living activities and recommend some modifications related to the Malaysian context. This study also highlights strategies to adopt when providing ESCAPE-pain to patients with knee OA.Conclusion: The findings reveal how sociocultural considerations could facilitate uptake and engagement with the ESCAPE-pain programme for home exercise among patients with knee osteoarthritis. These findings may benefit t patients with knee OA in the Malaysian healthcare system, although future research is recommended.

scholarly journals Modeling of Food and Nutrition Surveillance in Primary Health Care

2017 ◽  
Vol 30 (1) ◽  
pp. 109-126 ◽  
Author(s):  
Santuzza Arreguy Silva VITORINO ◽  
Marly Marques da CRUZ ◽  
Denise Cavalcante de BARROS
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care System ◽  
Document Analysis ◽  
Logic Model ◽  
Structured Interviews ◽  
Primary Health ◽  
Food And Nutrition ◽  
Definition Of ◽  
Care System

ABSTRACT Objective: To describe the modeling stages of food and nutrition surveillance in the Primary Health Care of the Unified Health Care System, considering its activities, objectives, and goals Methods: Document analysis and semi-structured interviews were used for identifying the components, describe the intervention, and identify potential assessment users. Results: The results include identification of the objectives and goals of the intervention, the required inputs, activities, and expected effects. The intervention was then modeled based on these data. The use of the theoretical logic model optimizes times, resources, definition of the indicators that require monitoring, and the aspects that require assessment, identifying more clearly the contribution of the intervention to the results Conclusion: Modeling enabled the description of food and nutrition surveillance based on its components and may guide the development of viable plans to monitor food and nutrition surveillance actions so that modeling can be established as a local intersectoral planning instrument.

Les motifs du suicide gériatrique: une étude exploratoire

2003 ◽  
Vol 22 (2) ◽  
pp. 197-205
Author(s):  
Luc Legris ◽  
Michel Préville
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Health Care Professionals ◽  
Basic Needs ◽  
The Elderly ◽  
Elderly Persons ◽  
Need To Belong ◽  
Psychological Autopsy ◽  
Structured Interviews ◽  
Care System

ABSTRACTFive semi-structured interviews were conducted, using the psychological autopsy method, in order to document the causes of geriatric suicide and to describe the interaction among suicidal elderly persons, their personal and social environments, and health care professionals. The results of this study support our hypothesis that elderly persons view suicide as a means of alleviating the psychological suffering associated with the frustration they experience on account of their inability to satisfy their basic needs. Three types of basic needs that affect the suicidal tendency of elderly persons were identified: the need to self-actualize, the need to belong, and the need to feel safe. The results also show that the people who make up the social and personal environment of elderly persons have a limited role in the prevention of suicide. This is due to their unfamiliarity with the problems surrounding the fulfilment of the basic needs of the suicidal elderly. Furthermore, as revealed in the cases studied here, the intervention of the health care system has centred mainly on the use of medication as a treatment for symptoms of psychological distress. The health care system pays little attention to the dissonance associated with the frustration suicidal elderly persons experience on account of their inability to satisfy their basic needs. Finally, the outcome of this qualitative study suggests that understanding the basic needs of the elderly can be very useful in understanding geriatric suicide.

scholarly journals Does higher health literacy lead to higher trust in public hospitals?

2021 ◽  
Author(s):  
Maja Bertram ◽  
Urs Steiner Brandt ◽  
Rikke Klitten Hansen ◽  
Gert Tinggaard Svendsen
Keyword(s):  
Game Theory ◽  
Health Care ◽  
Health Literacy ◽  
Health Care System ◽  
Empirical Data ◽  
Health Care Professionals ◽  
Social Groups ◽  
Public Hospitals ◽  
Future Research ◽  
Care System

Abstract Background: Does higher health literacy lead to higher trust in public hospitals? Existing literature suggests that this is the case since a positive association between the level of health literacy and the level of trust in physicians and the health care system has been shown. This study aims to challenge this assumption. Methods: Based on theoretical arguments from game theory and analysis of empirical data, we argue that the association is better described as an inversely u-shaped curve, suggesting that low and high levels of health literacy lead to a lower level of trust than a medium level of health literacy does. The empirical analysis is based on a study of the Danes’ relationship to the overall health care system. More than 6,000 Danes have been asked about their overall expectations of the health service, their concrete experiences and their attitudes to a number of change initiatives. Results: Game theory analysis show that the combined perceived cooperation and benefit effects can explain an inversely u-shaped relationship between social groups and trust in the health care system. Based on quantitative, binary regression analyses of empirical data, the lowest degree of trust is found among patients from the lowest and highest social groups, while the highest degree of trust is found in the middle group. The main driver for this result is that while patients having low health literacy perceive that the health care system is not cooperative, patients with a high level of health literacy have high expectations about the quality, which the health care system might not be able to provide. This reduces the perceived benefit from their encounter with the health care system. Conclusion: It is important that health care professionals understand that some patient groups have a higher chance of cooperation (e.g., agreeing on the choice of treatment) or defection (e.g. passing a complaint) than others. In perspective, future research should undertake further qualitative examinations of possible patient types and their demands in relation to different health care sectors, focusing specifically on the opportunities to improve the handling of different patient types.

scholarly journals THE LEVEL OF DECENTRALIZATION IMPACT ON THE BULGARIAN SOCIAL HEALTH CARE COMPETITIVENESS

2019 ◽  
Vol 5 (15) ◽  
pp. 1251-1258
Author(s):  
Venelin Terziev ◽  
Stoyanka Petkova ◽  
GEORGİEVA GEORGİEVA
Keyword(s):  
Health Care ◽  
Theoretical Model ◽  
Health Care System ◽  
Measurement System ◽  
Social Health ◽  
Performance Measurement System ◽  
Future Research ◽  
Health Care Managers ◽  
Care Managers ◽  
Care System

One of the most significant characteristics on which the Bulgarian social health care system competitiveness depends is the level of decentralization. In this study the authors explain a methodology for estimating the level of decentralization by using the knowledge of the so-called performance measurement system (PMS). The established theoretical model is tested among health care managers in 78 sub-divisional units randomly chosen among the Bulgarian health care system – facilities and hospitals. There have been made several conclusions that could be a base for future research and discussion. Keywords: competitiveness, impact, level of decentralization, Bulgarian health care system.

scholarly journals Traditional Birth Attendants in Samoa: Integration With the Formal Health System

2012 ◽  
Vol 2 (1) ◽  
pp. 5-11 ◽  
Author(s):  
Caroline S. E. Homer ◽  
Tauaitala Lees ◽  
Pelenatete Stowers ◽  
Fulisia Aiavao ◽  
Annabel Sheehy ◽  
...  
Keyword(s):  
Health Care ◽  
Health System ◽  
Health Care System ◽  
Maternity Care ◽  
Significant Proportion ◽  
Traditional Birth Attendant ◽  
Safe Motherhood ◽  
Future Research ◽  
Health Providers ◽  
Care System

A traditional birth attendant (TBA) is a person who assists the mother during childbirth and who initially acquired her skills by delivering babies herself or through apprenticeship to other TBAs. In many parts of the world, TBAs continue to provide a significant proportion of maternity care during pregnancy, birth, and the postpartum period. In Samoa, TBAs are recognized part of both the formal and informal health care system. The aim of this research was to examine the contribution that TBAs made in the provision of maternity care in Samoa. A descriptive study was undertaken, and 100 TBAs who had attended more than 400 births a year were interviewed as part of a broader Safe Motherhood Needs Assessment.The findings highlighted that although TBAs can work in collaboration with individual health providers or facilities or be integrated into the health system, TBAs were often practicing autonomously within their communities, independent of collaborative links. This study showed that formal recognition and registration of TBAs would improve the recording of births and augment their partnership to the formal health care system. This formal registration process has since been implemented to improve monitoring and evaluation and assist future research with this important group.

scholarly journals Family Members’ Perspectives on Family and Social Support Available to Suicidal Patients, and Health Systems’ Interactions and Responses to Suicide Cases in Alberta: Protocol for a Quantitative Research Study (Preprint)

2020 ◽  
Author(s):  
Rabab M Abou El-Magd ◽  
Liana Urichuk ◽  
Shireen Surood ◽  
Daniel Li ◽  
Andrew Greenshaw ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Quantitative Research ◽  
Research Study ◽  
Family Members ◽  
Future Research ◽  
System P ◽  
Ethics Research ◽  
Suicidal Thoughts And Behaviors ◽  
Care System

BACKGROUND Suicide is a major cause of preventable death globally and a leading cause of death by injury in Canada. To support people who experience suicidal thoughts and behaviors and to ultimately prevent people from dying by suicide, it is important to understand individual and familial experiences with the health care system. OBJECTIVE We present the protocol for a study, the objective of which is to explore how people who died by suicide, and their family members, interacted with the health care system. METHODS This is a quantitative research study. Data will be collected through a self-administered paper-based or online survey of the family member of patients who died by suicide. The sample size was calculated to be 385 (margin of error ±3%). RESULTS Data collection will start in October 2020 and results will be available by March 2021. We expect the results to shed light on the experiences of individuals who died by suicide and their family members with the health care system. The study has received ethical clearance from the Health Ethics Research Board of the University of Alberta (Pro00096342). CONCLUSIONS Our study may inform practice, policy, and future research. The findings may shape how members of the health care system respond to people who are at risk of suicide and their families. INTERNATIONAL REGISTERED REPORT PRR1-10.2196/19112

Enabling Technologies and Challenges for the Future of Ubiquitous Health The Interoperability Framework

2010 ◽  
pp. 596-622 ◽  
Author(s):  
Donald W. M. Juzwishin
Keyword(s):  
Health Care ◽  
Web 2.0 ◽  
Health Care System ◽  
Care Delivery ◽  
Future Research ◽  
Health Care Reforms ◽  
High Performing ◽  
Web 3.0 ◽  
System Interoperability ◽  
Care System

Web 2.0 and Web 3.0 emerge at a time when health care reforms are stymied. Current barriers to an effectively functioning health care system are linked to the historical, political and social institutions and processes that are preventing health system interoperability causing issues with access (to service and information), continuity of care, safety and the assessment of program delivery. An interoperability framework, identifying citizens, providers, policy makers and researchers is developed and related to the improvement of understanding, access, trust, discourse, and practice for the purpose of moving toward a high performing health care system. Web 2.0 and Web 3.0 offer great promise as an eHealth platform to synergistically catalyze significant improvements to health care delivery, however, caution is advised about uncritical adoption. Barriers to progress and opportunities for advancement are identified and questions for future research are posited.

“Did I Choose a Birth Control Method Yet?” Health Care and Women’s Contraceptive Decision-Making

2021 ◽  
pp. 104973232110040
Author(s):  
Jamie L. Manzer ◽  
Ann V. Bell
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Health Care System ◽  
Unintended Pregnancy ◽  
Control Method ◽  
Insurance Coverage ◽  
The United States ◽  
Structured Interviews ◽  
Access To Contraception ◽  
Care System

In the United States, unintended pregnancy is medicalized, having been labeled a health problem and “treated” with contraception. Scholars find women’s access to contraception is simultaneously facilitated and constrained by health care system actors and its structure. Yet, beyond naming these barriers, less research centers women’s experiences making contraceptive decisions as they encounter such barriers. Through in-depth, semi-structured interviews with 86 diverse, self-identified women, this study explores how the medicalization of unintended pregnancy has influenced women’s contraceptive access and decision-making. We highlight the breadth of such influence across multiple contraceptive types and health care contexts; namely, we find the two most salient forces shaping women’s contraceptive decisions to be their insurance coverage and providers’ contraceptive counseling. Within these two categories, we offer crucial nuance to demonstrate how these oft-cited barriers implicitly and explicitly influence women’s decisions. Paradoxically, it is the health care system, itself, that both offers yet constrains women’s contraceptive decisions.

scholarly journals Physicians’ and Patients’ Perceptions of Physicians’ Social Competencies in Gynaecology and Obstetrics

2020 ◽  
Vol 10 (3) ◽  
pp. 275-309
Author(s):  
Lenka Emrová
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Informal Education ◽  
Skills Training ◽  
Future Research ◽  
Social Competencies ◽  
Knowledge Based ◽  
Communication Competencies ◽  
Expectant Mothers ◽  
Care System

The quality and level of the Czech health-care system is a very current and often discussed topic. The Czech health-care system is considered to be the most advanced health system in the world, on the other hand, the Czech health-care system is often criticized for being more “technological” and “scientifical” and that the psychosocial aspects are neglected. The physicians are expected to have acquired social competencies, but not enough attention is paid to defining and developing them as well as creating conditions for their application. We need to change the curriculum for undergraduate and postgraduate physicians’ psychosocial preparation. Lifelong learning plays a significant role as doctors can get into contact with patients and develop their social competencies only in everyday practice. The research focuses on gynaecological and obstetric specialization where the need of psychosocial approach is considered essential. The purpose of this research was to determine if there exists an agreement between gynaecologists-obstetricians and patients‑women expectations on what behaviour make physicians’ social competent behaviour. The main methods used are three focus groups for six doctors and nine semi‑standardized interviews with expectant mothers. The obtained data were processed using the method of coding and creation of clusters. The results indicate that there is considerable agreement between physicians and patients on the categories of socially-competent behaviour. However, the differences are in the perceived importance of the competencies; the physicians consider intrapersonal competencies to be the most important, while mothers consider interpersonal and communication competencies to be the most important. These results are discussed with respect to the implications for future research of interventions in the field of physicians’ social skills training in formal and informal education. We consider knowledge based directly on the perception of physicians and patients to be valuable because it provides further insight into what is important to include in the education of social competencies.

scholarly journals Does higher health literacy lead to higher trust in public hospitals?

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Maja Bertram ◽  
Urs Steiner Brandt ◽  
Rikke Klitten Hansen ◽  
Gert Tinggaard Svendsen
Keyword(s):  
Game Theory ◽  
Health Care ◽  
Health Literacy ◽  
Health Care System ◽  
Empirical Data ◽  
Health Care Professionals ◽  
Social Groups ◽  
Public Hospitals ◽  
Future Research ◽  
Care System

Abstract Background Does higher health literacy lead to higher trust in public hospitals? Existing literature suggests that this is the case since a positive association between the level of health literacy and the level of trust in physicians and the health care system has been shown. This study aims to challenge this assumption. Methods Based on theoretical arguments from game theory and analysis of empirical data, we argue that the association is better described as an inversely u-shaped curve, suggesting that low and high levels of health literacy lead to a lower level of trust than a medium level of health literacy does. The empirical analysis is based on a study of the Danes’ relationship to the overall health care system. More than 6000 Danes have been asked about their overall expectations of the health service, their concrete experiences and their attitudes to a number of change initiatives. Results Game theory analysis show that the combined perceived cooperation and benefit effects can explain an inversely u-shaped relationship between social groups and trust in the health care system. Based on quantitative, binary regression analyses of empirical data, the lowest degree of trust is found among patients from the lowest and highest social groups, while the highest degree of trust is found in the middle group. The main driver for this result is that while patients having low health literacy perceive that the health care system is not cooperative, patients with a high level of health literacy have high expectations about the quality, which the health care system might not be able to provide. This reduces the perceived benefit from their encounter with the health care system. Conclusion It is important that health care professionals understand that some patient groups have a higher chance of cooperation (e.g., agreeing on the choice of treatment) or defection (e.g. passing a complaint) than others. In perspective, future research should undertake further qualitative examinations of possible patient types and their demands in relation to different health care sectors, focusing specifically on the opportunities to improve the handling of different patient types.

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